Provider Demographics
NPI:1528054400
Name:ROBINSON U ORDONA MD PC
Entity type:Organization
Organization Name:ROBINSON U ORDONA MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBINSON
Authorized Official - Middle Name:U
Authorized Official - Last Name:ORDONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD PC
Authorized Official - Phone:248-288-2114
Mailing Address - Street 1:3535 W 13 MILE RD
Mailing Address - Street 2:STE 702A
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-6710
Mailing Address - Country:US
Mailing Address - Phone:248-288-2114
Mailing Address - Fax:248-551-6170
Practice Address - Street 1:3535 W 13 MILE RD
Practice Address - Street 2:STE 702A
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-6710
Practice Address - Country:US
Practice Address - Phone:248-288-2114
Practice Address - Fax:248-551-6170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010313492086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1236860002OtherWELLNESS PLAN
134678OtherGREAT LAKES HEALTH
000000002262OtherCAPE
011851OtherMIDWEST HEALTH
2406312502OtherBLUE CROSS
MI1066526Medicaid
1236860002OtherWELLNESS PLAN
2406312502OtherBLUE CROSS
011851OtherMIDWEST HEALTH